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OBG · Postpartum care
Sample itemWhich symptom suggests postpartum endometritis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Fever with uterine tenderness and foul-smelling lochia
Postpartum endometritis commonly causes fever, uterine tenderness, and malodorous lochia, particularly after prolonged labour or caesarean birth.
Option by option
A. Painless breast enlargement during lactation
Breast enlargement can be normal milk production.
B. Fever with uterine tenderness and foul-smelling lochia (correct)
Correct: fever plus uterine tenderness and foul lochia is typical.
C. Mild hair shedding months after birth
Postpartum hair shedding is often a benign telogen effect.
D. Brief fatigue after a sleepless night
Short-term fatigue is common after disrupted sleep.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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